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It will be seen from the foregoing table that the death.rate from the principal epidemic diseases
in the period 1904.8 and in the year 1909, was highest in Shoreditch (2.88 and 2.87 respectively) and
lowest in Hampstead (0.55 and 0.52 respectively). The death.rates from these diseases during each of
the four quarters of the year were as follows : First quarter, 1.73 ; second quarter, 1.38 ; third quarter,
133; and fourth quarter, 0.77 per 1,000 persons living.
The extent to which the death.rate from the principal epidemic diseases (excluding diarrhoea)
and from diarrhoeal diseases, varies with social condition, will be seen on reference to Diagram IV.
Smallpox and Vaccination.
Fifteen cases of smallpox are known to have occurred in the Administrative County of London
during the year 1909, and of these two terminated fatally; two deaths were attributed to cowpox.

The smallpox death-rate in each year since 1840 in relation to the mean death.rate during
the period 1841.1909 is shown in diagram VI.
During the complete years in which the notification of infectious diseases has been obligatory,
the number of cases of smallpox (uncorrected for errors in diagnosis) notified to the medical officers of
health in the various sanitary districts comprised in the Administrative County has been as follows :—

It will be seen from the following table that in the quinquennium 1904.8 only four of the undermentioned
towns, namely Bradford, Newcastle-on-Tyne, Hull and Nottingham, had a rate exceeding
0.005 per 1,000, while in 1909 deaths occurred in London, Bristol and Hull only.
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1 See footnote (1), page 6.
e